冻融胚胎个体化移植方案的探讨

发布时间：2018-02-08 21:20

  本文关键词： 冻融胚胎移植 影响因素 临床妊娠率　出处：《实用医学杂志》2015年17期 　论文类型：期刊论文

【摘要】：目的:分析若干因素对冻融胚胎移植临床妊娠率的影响。方法:回顾性分析截至2014年5月我院生殖医学中心3 192例冻融胚胎移植患者的临床资料,按照年龄、不孕原因、不孕类型、不孕年限、给药方案、移植胚胎数目和时间进行分组,比较各组的临床妊娠率。结果:35岁组不孕妇女冻融胚胎移植临床妊娠率(33.96%)高于35~39岁组(27.58%)和39岁组(19.35%)(P0.05)、临床妊娠组的不孕年限小于未妊娠组(P0.05)、移植3个胚胎的临床妊娠率(41.01%)高于移植2个胚胎组(28.75%)(P0.05)、≥40岁冻融胚胎移植患者移植3个胚胎的临床妊娠率(25.49%)高于移植1个胚胎(0.00%)(P0.05)、冻融胚胎移植囊胚组临床妊娠率(40.00%)高于卵裂期组(26.27%)(P0.05)。结论:年龄、不孕年限、冷冻胚胎的移植数目和时间均可对冻融胚胎移植患者的临床妊娠率造成影响。结合年龄建立的个体化移植方案可以增加冻融胚胎移植患者的临床妊娠率。
[Abstract]:Objective: to analyze the effect of several factors on the clinical pregnancy rate of frozen and thawed embryo transfer. Methods: the clinical data of 3 192 cases of frozen and thawed embryo transfer were analyzed retrospectively by May 2014. Type of infertility, length of infertility, regimen of administration, number and time of embryo transfer, Results the pregnancy rate of frozen-thawed embryo transfer in infertile women of 35 years old was higher than that of 35 years old women (27.58%) and that of 39 years old group was 19.35% (P 0.05). The infertile life of clinical pregnancy group was lower than that of non-pregnant women (P 0.05), and the clinical pregnancy rate of 3 embryos transferred was lower than that of non-pregnancy group (P 0.05). The pregnancy rate (41.01) was higher than that in 2 embryo transfer groups (28.75%), and the clinical pregnancy rate of 3 embryos transferred from frozen and thawed embryo transfer patients (鈮，

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